Scar Revision Surgery in Melbourne
Scar revision surgery is a plastic surgery procedure designed to improve the appearance and function of existing scars.
At Specialist Surgical Group, our Melbourne-based plastic surgeons perform scar revision surgery on patients with scars that cause cosmetic concerns or functional limitations. We employ established surgical techniques, including Z-plasty, W-plasty, and direct excision, to minimise scar visibility and enhance function when appropriate.
This procedure works by surgically removing or repositioning scar tissue and closing the wound using techniques that may result in a less noticeable scar. The new scar is typically positioned to follow natural skin lines where possible. While scar revision cannot eliminate scars, it may help improve their appearance and any associated functional problems.
Call us today at (03) 9466 7338 to book a consultation.
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We are located in the heart of Essendon and Bundoora.
Is scar revision surgery for you?
Scar revision surgery may be appropriate for you if:
- You have mature scars that have been stable for at least 12-18 months
- Your scars cause functional problems, such as restricted movement
- You experience ongoing discomfort, pain, or itching from your scars
- The scars significantly affect your quality of life or self-confidence
- You have realistic expectations about the potential for improvement
- Previous non-surgical treatments have not provided satisfactory results
Research indicates that many patients experience improvement in both scar appearance and function following revision surgery [1]. During your initial consultation, we will assess your specific situation, discuss your goals, and determine whether scar revision surgery is suitable for your needs.
Potential benefits
- Improved scar appearance. Scar revision can help reduce the visibility of scars by repositioning them along natural skin lines and improving their texture, width, and colour match with surrounding skin [1].
- Enhanced function and movement. For scars that cause tightness or restrict movement, revision surgery can help restore better function and reduce discomfort, particularly beneficial for scars crossing joints [2].
- Better skin integration. The procedure aims to create scars that blend more naturally with surrounding skin, often resulting in less noticeable scarring compared to the original [3].
- Customised treatment approach. Different surgical techniques can be selected based on your specific scar type, location, and characteristics to achieve the most appropriate outcome for your situation [4].
- Improved quality of life. Many patients experience reduced self-consciousness and improved confidence following successful scar revision, particularly for visible facial or body scars [1].
Potential risks
- Standard surgical complications. As with any surgical procedure, risks include bleeding, infection, wound healing problems, and reactions to anaesthesia, though serious complications are uncommon [5].
- Recurrent problematic scarring. There is a possibility that the new scar may develop similar characteristics to the original scar, particularly in individuals prone to keloid or hypertrophic scarring [6].
- Incomplete aesthetic improvement. While improvement is often achievable, complete elimination of visible scarring is typically not possible, and results may not fully meet patient expectations [1].
- Need for additional treatment. Some complex scars may require multiple procedures or additional treatments such as steroid injections or laser therapy to achieve optimal results [4].
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(03) 9466 7338Meet our plastic surgeon
Our scar revision surgery procedure
Here’s a general overview of our scar revision surgery procedure. Individual experiences may vary based on your specific circumstances and medical needs.
1. Initial consultation
We’ll examine your scar and discuss your concerns in detail. Our surgeon will discuss suitable treatment options and realistic outcomes tailored to your specific situation. We’ll take photographs for planning purposes and answer all your questions.
This appointment enables us to understand your goals and determine the most suitable approach for you
2. Pre-surgery preparation
Once you decide to proceed, we’ll provide detailed preparation instructions. This includes any required medical tests and guidance about medications or supplements to avoid.
We’ll schedule your procedure and provide written information about what to expect. Proper preparation helps ensure the best possible outcome.
3. Surgery day
You’ll arrive at our accredited day surgery facility in Melbourne, where our team will prepare you for the procedure. Most scar revisions are performed under local anaesthesia for your comfort.
The surgery typically takes one to three hours, depending on the complexity. You’ll be able to go home the same day.
4. Recovery starts
After surgery, you’ll rest in our recovery area while we monitor your initial healing. We’ll apply appropriate dressings and provide detailed home care instructions.
Most patients experience minimal discomfort and respond well to simple pain relief. You’ll need someone to drive you home after the procedure.
5. Healing phase
The first few weeks focus on proper wound care and a gradual return to activities. You’ll have follow-up appointments for wound checks and suture removal.
We’ll guide you through gentle scar massage techniques and appropriate skincare. Most patients can return to work and engage in light activities within a few days.
6. Follow-ups
Final results develop over several months as your scar continues to mature and fade. We’ll monitor your healing progress through regular check-ups and provide ongoing guidance.
Any concerns that arise during the healing process can be addressed promptly. Most patients see continued improvement for up to a year after surgery.
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(03) 9466 7338Scar revision surgery FAQ
Most scars need 12-18 months to fully mature before revision surgery is considered [1]. This waiting period allows the scar to settle and reach its final appearance. Early intervention may be recommended for functional problems or severe contractures that affect movement.
Coverage depends on whether the procedure is considered medically necessary or cosmetic. Functional problems or significant psychological impact may qualify for Medicare rebates. We recommend discussing coverage with your GP and private health insurer before scheduling surgery.
Most patients report minimal pain during recovery. You’ll receive pain medication to manage any discomfort in the first few days. The procedure itself is performed under anaesthesia, so you won’t feel anything during surgery. Any discomfort is typically well-controlled with prescribed medications [11].
Most scar revision procedures are performed under local anaesthesia so that you won’t feel pain during surgery. Postoperative discomfort is typically mild and manageable with over-the-counter pain relief medications. Some patients experience temporary numbness or sensitivity around the treated area [2].
Recovery time varies depending on your job and the complexity of your procedure. Most patients return to desk work within 2-3 days, while physical jobs may require 1-2 weeks off. Your surgeon will provide specific guidelines tailored to your situation and the type of work you do.
Normal scars are flat and pale, while hypertrophic scars are raised but stay within the original wound boundaries. Keloid scars grow beyond the original injury site and are more common in people with darker skin tones [3]. Each type requires different treatment approaches.
While most scars can be improved, results vary significantly. Factors like scar location, skin type, and healing characteristics all influence outcomes. Some scars may benefit more from non-surgical treatments, such as laser therapy or steroid injections [4].
A GP referral isn’t always required for private consultations, but it’s recommended for potential Medicare coverage. Your GP can also help determine if your scar concerns warrant specialist assessment and provide valuable medical history to the plastic surgeon.
Non-surgical options include silicone gels, steroid injections, laser treatments, and microneedling. These treatments are effective for certain types of scars and may be considered before surgery [4]. Your surgeon can recommend the most appropriate approach for your specific situation.
Medical disclaimer
The information on this page is for general educational purposes only. It does not constitute medical advice, diagnosis, or treatment recommendations, and does not create a doctor-patient relationship. Individual circumstances vary significantly, and nothing on this page should be used as a substitute for personalised advice from a qualified medical professional.
If you have concerns about your health, please seek medical attention promptly. To discuss your specific condition and treatment options with our team, please book a consultation by calling us at (03) 9466 7338.
References
[1] Miranda BH, Allan AY, Butler DP, Cussons PD. Scar Revision Surgery: The Patient’s Perspective. Arch Plast Surg. 2015;42(6):729-734. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4659986/
[2] Kadakia S, Ducic Y, Jategaonkar A, Chan D. Scar Revision: Surgical and Nonsurgical Options. Facial Plast Surg. 2017;33(6):621-626. https://pubmed.ncbi.nlm.nih.gov/29195243/
[3] Garg S, Baveja S, Mangla R. Surgical Scar Revision: An Overview. J Cutan Aesthet Surg. 2014;7(1):3-13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996787/
[4] Skochdopole A, Dibbs RP, Sarrami SM, Dempsey RF. Scar Revisions. Semin Plast Surg. 2021;35(2):130-138. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8186991/
[5] Scar Revision. StatPearls. 2024. https://www.ncbi.nlm.nih.gov/books/NBK542318/
[6] Ogawa R. The Most Current Algorithms for the Treatment and Prevention of Hypertrophic Scars and Keloids. Plast Reconstr Surg. 2010;125(2):557-568.